scholarly journals Late Receipt of a Second Cochlear Implant: Better Late than Never?

2021 ◽  
pp. 1-21
Keyword(s):  
Cochlear Implant ◽  
World Knowledge ◽  
Social Emotional ◽  
Deaf Students ◽  
College Age ◽  
Visual Spatial ◽  
Secondary Analyses ◽  
Social Emotional Functioning

The present study explored the incremental benefits of late receipt of a second cochlear implant (CI) by examining various aspects of educational, cognitive and social-emotional functioning among college-age CI users. Secondary analyses were conducted on data from seven studies that had compared deaf students who were active CI users, deaf students who had never used CIs and hearing students; information concerning unilateral or bilateral CI use had been collected but was not analysed previously. The seven studies provided for comparisons on four dozen dimensions including executive function, world knowledge, visual-spatial ability, academic achievement and quality of life. Ages of first/only cochlear implantation did not differ significantly in any of the comparisons, nor did the groups differ significantly on most of the outcome measures across cognitive and social-emotional domains. The findings consistently indicated that while cognitive and social-emotional differences might be apparent between samples of unilateral and bilateral CI users during earlier childhood, they were not evident in this group of CI users who had reached college-age. Limitations of this study related to the nature of the participant samples indicate the need for further research on long-term benefits of bilateral implantation.

scholarly journals Long-term effects of stimulant treatment on ADHD symptoms, social–emotional functioning, and cognition

2018 ◽  
Vol 49 (2) ◽  
pp. 217-223 ◽  
Author(s):  
Lizanne Schweren ◽  
Pieter Hoekstra ◽  
Marloes van Lieshout ◽  
Jaap Oosterlaan ◽  
Nanda Lambregts-Rommelse ◽  
...  
Keyword(s):  
Emotional Functioning ◽  
Treated Group ◽  
Cognitive Test ◽  
Control Group ◽  
Adhd Symptoms ◽  
Social Emotional ◽  
Stimulant Treatment ◽  
Social Emotional Functioning

AbstractBackgroundMethodological and ethical constraints have hampered studies into long-term lasting outcomes of stimulant treatment in individuals with attention-deficit/hyperactivity disorder (ADHD). Lasting effects may be beneficial (i.e. improved functioning even when treatment is temporarily ceased) or detrimental (i.e. worse functioning while off medication), but both hypotheses currently lack empirical support. Here we investigate whether stimulant treatment history predicts long-term development of ADHD symptoms, social–emotional functioning or cognition, measured after medication wash-out.MethodsADHD symptoms, social–emotional functioning and cognitive test performance were measured twice, 6 years apart, in two ADHD groups (stimulant-treated versus not stimulant-treated between baseline and follow-up). Groups were closely matched on baseline clinical and demographic variables (n = 148, 58% male, age = 11.1). A matched healthy control group was included for reference.ResultsAll but two outcome measures (emotional problems and prosocial behaviour) improved between baseline and follow-up. Improvement over time in the stimulant-treated group did not differ from improvement in the not stimulant-treated group on any outcome measure.ConclusionsStimulant treatment is not associated with the long-term developmental course of ADHD symptoms, social–emotional functioning, motor control, timing or verbal working memory. Adolescence is characterised by clinical improvement regardless of stimulant treatment during that time. These findings are an important source to inform the scientific and public debate.

scholarly journals Evaluation of Cost-Effectiveness of Cochlear Implant Use in Albania and Benefits from its Applications to Children with Profound Loss Hearing

2014 ◽  
Vol 4 (2) ◽  
pp. 251
Author(s):  
MSc. Mirvete Rama ◽  
Dr.Sc. Anjeza Kaleci ◽  
Dr.Sc. Sonila Vito ◽  
MSc. Selvete Shuleta-Qehaja
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Theoretical Data ◽  
Cost Effective ◽  
Cost Utility ◽  
Profound Hearing Loss ◽  
Loss Of Hearing ◽  
The Impact

Background: It is estimated that each year in Albania, about 70 children are born with profound hearing loss. If detected and diagnosed early (before age 4-5) and treated with cochlear implant, these children are likely to recover from the loss of hearing in a certain extent and to gradually develop speech, thus integrate in life and society.The purpose of this study is to compare these two alternatives by combining the costs and respective benefits or outcomes through a pharmacy economic evaluation. This assessment provides theoretical data on the problem of profound hearing loss mainly in children, long-term consequences of this condition in their life mainly in lingual development , cognitive (cognitive), emotional, and social benefits and highlights the impact of cochlear implant in the lives of these individuals.Methodology: As for those individuals, whose quality of life is compromised by their defect, we used a cost-utility analysis. The assessment is done from the perspective of the payer and the society. After assessment of costs and calculation of QALYs for each alternative we concluded.Conclusions: Cochlear implant improves hearing perception and helps the development of speech at young children with profound hearing loss under the age of 4-5.The younger the child is the greater are the benefits. Cochlear implant is more cost-effective from both perspectives considered by our study (Payer and Society) compared with no implant.

Thinking Beyond Language: Intervention for Severe Aphasia

2009 ◽  
Vol 19 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Nina Simmons-Mackie
Keyword(s):  
Quality Of Life ◽  
Communication Training ◽  
Language Intervention ◽  
Specific Training ◽  
Environmental Support ◽  
Total Communication ◽  
Communication Partners

Abstract Purpose: This article addresses several intervention approaches that aim to improve life for individuals with severe aphasia. Because severe aphasia significantly compromises language, often for the long term, recommended approaches focus on additional domains that affect quality of life. Treatments are discussed that involve increasing participation in personally relevant life situations, enhancing environmental support for communication and participation, and improving communicative confidence. Methods: Interventions that have been suggested in the aphasia literature as particularly appropriate for people with severe aphasia include training in total communication, training of communication partners, and activity specific training. Conclusion: Several intervention approaches can be implemented to enhance life with severe aphasia.

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

Long term follow-up in quality of life after mitral valve surgery

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
I Kammerer ◽  
M Höhn ◽  
AH Kiessling ◽  
S Becker ◽  
FU Sack
Keyword(s):  
Quality Of Life ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Long Term Follow Up
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